title: Chronic wound and postamputation claudication pain in a diabetic patient.
abstract: Underlying ischaemic disease should be excluded in patients with delayed wound healing. Contrast angiography is a useful imaging method for assessing the specific cause of wound chronicity and may also be helpful in assessing the aetiology of unexplained pain symptoms. Angioplasty provides a practical alternative to more invasive techniques in addressing peripheral ischaemia. Our patient suffered claudication-type pain in his thigh and a non-healing stump wound following below-knee amputation. Magnetic resonance angiography confirmed the presence of arterial stenoses and an angioplasty was successfully performed to improve patency of the profunda femoris vessel. Following the operation, the claudication pain symptoms were significantly reduced and the stump wound went on to heal.
authors.affiliation: University of Bristol, UK.
authors.forename: B E
authors.initials: BE
authors.lastname: Warner
authors.forename: A J
authors.initials: AJ
authors.lastname: Richards
authors.forename: M
authors.initials: M
authors.lastname: Biswas
authors.forename: C
authors.initials: C
authors.lastname: Chick
authors.forename: P
authors.initials: P
authors.lastname: Lewis
authors.forename: K G
authors.initials: KG
authors.lastname: Harding
mesh_terms: D000368:Aged; D000671:Amputation, Surgical / Q000009:adverse effects*; D003925:Diabetic Angiopathies / Q000601:surgery*; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology*; D007511:Ischemia / Q000209:etiology; D018810:Magnetic Resonance Angiography; D008297:Male; D010149:Postoperative Pain / Q000209:etiology*; D013848:Thigh / Q000098:blood supply; D014945:Wound Healing / Q000502:physiology*